Interação das soluções de anestésicos locais em pacientes portadores de diabetes mellitus – revisão de literatura

Abstract

Local anesthetics are routinely used by the dental surgeon. There are various anesthetic solutions associated with vasoconstrictors, each of which is indicated for a particular case. Diabetes Mellitus is one of the most common systemic diseases in the world. It is characterized by a deficiency in insulin secretion and/or action in the body. The reckless use of anesthetic solutions in diabetic patients can lead to health problems and even death. It is therefore important to use anesthetic solutions with awareness and caution, using enough to reduce the sensitivity of the site and respecting the maximum dose of tubes in each situation. In addition to treating each case in the best possible way, it is up to the dental surgeon to instruct preventive measures so that the oral condition of these patients is under control, since it is known that patients with Diabetes Mellitus are more susceptible to complications related to oral health. This review aims to elucidate the interaction between local anesthetics in diabetic patients, explaining which solutions to use associated with a vasoconstrictor and the risk that improper use can generate. For this study, articles on other systemic conditions that interact directly with local anesthetics were excluded and the focus remained on patients with diabetes mellitus, highlighting interactions with drugs and dental procedures. The bibliographic review was carried out using databases such as LILACS, PUBMED, MEDLINE and Google Scholar from 2000 to 2024, using the descriptors: local anesthesia, Diabetes Mellitus and dentistry.